Key result
Surgical epicardial pacemaker implantation safely and effectively restored ventricular pacing and improved hemodynamics in a patient with complete heart block caused by an obstructing intracardiac mass.
Why the study?
Transvenous pacemaker implantation may be contraindicated in patients with anatomical anomalies or significant comorbidities, requiring alternative approaches such as epicardial pacing.
Case Report (n=1)
No
Epicardial pacemaker implantation is a safe and effective alternative for patients with complete heart block caused by an obstructive intracardiac mass where transvenous lead placement is unfeasible.
Rare intracardiac conduction variant may contraindicate transvenous pacing; leaves open need for individualized lead strategies in anomalous anatomy.
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Savitri et al. (2025) conducted a case report in Complete heart block due to intracardiac mass (n=1). Surgical epicardial pacemaker implantation was evaluated on Hemodynamic improvement and successful pacing. Surgical epicardial pacemaker implantation safely and effectively restored ventricular pacing and improved hemodynamics in a patient with complete heart block caused by an obstructing intracardiac mass.
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